Analysis of clinical, radiological and functional outcome of internal fixation of sacroiliac joint in patients with unstable sacroiliac joint disruptions

Ketharan, S K (2014) Analysis of clinical, radiological and functional outcome of internal fixation of sacroiliac joint in patients with unstable sacroiliac joint disruptions. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Sacroiliac joint disruptions occurs commonly following high velocity injuries like road traffic accidents. These injuries are unstable and are associated with high rate of mortality and morbidity following conservative management. Mortality is commonly due to hemorrhage and morbidity is due to pain in sacroiliac joint due to articular incongruiety (arthritis). Early anatomical reduction and internal fixation of sacroiliac joint disruptions results in reduced mortality and morbidity. AIM OF THE STUDY: The aim of the study is prospective analyse of the functional outcome in patients with sacroiliac joint disruptions managed surgically with internal fixation. The study period is from October 2011 to October 2013. MATERIALS AND METHOD: This study was conducted in 21 patients got admitted in Rajiv Gandhi Government General, Chennai. All hemodynamically stable patient with unstable type B and type C closed sacroiliac joint disruptions were included in study. Hemodynamically unstable and patients with open injuries are excluded from study. All patients were subjected to preoperative complete blood investigation, pelvic x-ray (inlet, outlet and AP view), and CT scan. After 24-36 hours observation patients were taken for surgery, either 6.5 cannulated cancellous screw or recon plate used. In patients, were closed reduction achieved percutaneous cannulated cancellous screw fixation done and in patients were closed reduction not possible open reduction and internal fixation done with either cancellous screw or reconstruction plate. Post operatively during follow up patients were assessed clinically (sacroiliac joint stress test), radiologically (pelvic x-ray for assessing joint and implant status) and functionally using pelvic outcome scale (Cole et al). RESULTS: In, our study 21 patients with unstable sacroiliac joint disruptions were treated with definitive internal fixation and followed for an average period of 8.7 months (range 4-16 months). The functional outcome of patients based on pelvic outcome scale by Cole et al was good for 18 patients and fair for two patients. CONCLUSION: Anatomic reduction and internal fixation of unstable sacroiliac joint injuries gives excellent stability, allows early mobility and good functional outcome. Percutaneous fixation was as rigid as open reduction and internal fixation.

Item Type: Thesis (Masters)
Uncontrolled Keywords: clinical Analysis, radiological Analysis, functional outcome , internal fixation, sacroiliac joint, patients, unstable sacroiliac joint disruptions.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 16 Sep 2017 08:56
Last Modified: 16 Sep 2017 08:56

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